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How and when to intervene in cases of severe domestic squalor

Published online by Cambridge University Press:  10 July 2009

John Snowdon  and
Graeme Halliday
John Snowdon*
Affiliation:
Discipline of Psychological Medicine, University of Sydney, Concord Hospital, Sydney, Australia
Graeme Halliday
Affiliation:
Sydney South West Area Health Service, Concord Hospital, Sydney, Australia
*
Correspondence should be addressed to: Professor John Snowdon, Discipline of Psychological Medicine, University of Sydney, Concord Hospital, N.S.W. 2139, Australia. Phone: +61-2-97675000; Fax: +61-2-97678951. Email: [email protected].
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Abstract

Background: Little has been published concerning how best to intervene in cases of severe domestic squalor.

Methods: Background literature and reports on how best to intervene in cases of severe domestic squalor were reviewed.

Results: Reports by groups in London (Ontario), and Sydney (Australia) have provided recommendations for development of coordinated services to intervene in cases of squalor. Guidelines have been issued. Treatments for compulsive hoarding may contribute to improvement in cases where squalor is attributable to restricted access due to clutter.

Conclusions: Effective interventions in cases of severe domestic squalor are commonly expensive and require good inter-agency collaboration. Budgetary support must be available to enable appropriate services to take on cases and provide case management.

Keywords

uncleanlinessDiogenes syndromeliving conditionsself-neglecthoardingguidelinescommunity services
Type
Review Article
Information
International Psychogeriatrics , Volume 21 , Issue 6 , December 2009 , pp. 996 - 1002
Copyright
Copyright © International Psychogeriatric Association 2009

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References

Cooney, C. and Hamid, W. (1995). Review: Diogenes syndrome. Age and Ageing, 24, 451–453.CrossRefGoogle ScholarPubMed
Dyer, C. B., Goodwin, J. S., Pickens-Pace, S., Burnett, J. and Kelly, A. (2007). Self-neglect among the elderly: a model based on more than 500 patients seen by a geriatric medicine team. American Journal of Public Health, 97, 1671–1676.CrossRefGoogle Scholar
Fairfax County Hoarding Task Force (2008). Annual Report. Available at: www.fairfaxcounty.gov/dpwes/trash/hoarding/hoarding_annual_report.pdf (last accessed 19 May 2009).Google Scholar
Halliday, G. and Snowdon, J. (2009). The Environmental Cleanliness and Clutter Scale (ECCS). International Psychogeriatrics, epublished ahead of print, doi:10.1017/S1041610209990135.CrossRefGoogle Scholar
Halliday, G., Banerjee, S., Philpot, M. and Macdonald, A. (2000). Community study of people who live in squalor. Lancet, 355, 882–886.CrossRefGoogle ScholarPubMed
Kelly, P. A., Dyer, C. B., Pavlik, V., Doody, R. and Jogerst, G. (2008). Exploring self-neglect in older adults: preliminary findings of the self-neglect severity scale and next steps. Journal of the American Geriatrics Society, 56, S253–S260.CrossRefGoogle ScholarPubMed
Lachs, M. S., Williams, C. S., O'Brien, S. and Pillemer, K. A. (2002). Adult protective service use and nursing home placement. Gerontologist, 42, 734–739.CrossRefGoogle ScholarPubMed
Macmillan, D. and Shaw, P. (1966). Senile breakdown in standards of personal and environmental cleanliness. British Medical Journal, 2, 1032–1037.CrossRefGoogle ScholarPubMed
Neziroglu, F., Bubrick, J. and Yaryura-Tobias, J. A. (2004). Overcoming Compulsive Hoarding: Why You Save and How You Can Stop. Oakland, CA: New Harbinger Publications.Google Scholar
Patronek, G. J. and Nathanson, J. N. (2009). A theoretical perspective to inform assessment and treatment strategies for animal hoarders. Clinical Psychology Review, 29, 274–281.CrossRefGoogle ScholarPubMed
Pelletier, R. and Pollett, G. (2000). Task Force on Senile Squalor – Final Report. London, Ontario: Middlesex-London Health Unit.Google Scholar
Pertusa, A., Fullana, M. A., Singh, S., Alonso, P., Menchon, J. M. and Mataix-Cols, D. (2008). Compulsive hoarding: OCD symptom, distinct clinical syndrome, or both? American Journal of Psychiatry, 165, 1289–1298.CrossRefGoogle ScholarPubMed
Saxena, S. (2007). Is compulsive hoarding a genetically and neurobiologically discrete syndrome? Implications for diagnostic classification. American Journal of Psychiatry, 164, 380–384.CrossRefGoogle ScholarPubMed
Shah, A. K. (1995). The use of legislation in cases of squalor. Medicine, Science and the Law, 35, 43–44.CrossRefGoogle ScholarPubMed
Snowdon, J. and Halliday, G. (2007). Severe domestic squalor among Sydney older persons: a study of prevalence and outcome. International Psychogeriatrics, 19 (Suppl. 1), 104.Google Scholar
Snowdon, J., Shah, A. and Halliday, G. (2007). Severe domestic squalor: a review. International Psychogeriatrics, 19, 37–51.CrossRefGoogle ScholarPubMed
Steketee, G. and Frost, R. O. (2007). Compulsive Hoarding and Acquiring: Workbook. Oxford: Oxford University Press.Google Scholar
Strang, D. G., Molloy, D. W. and Harrison, C. (1998). Capacity to choose place of residence: autonomy vs beneficence? Journal of Palliative Care, 14, 25–29.CrossRefGoogle ScholarPubMed
Tolin, D. F., Frost, R. O. and Steketee, G. (2007). Buried in Treasures. Help for Compulsive Acquiring, Saving and Hoarding. Oxford: Oxford University Press.Google Scholar
Wolfson, P., Cohen, M., Lindesay, J. and Murphy, E. (1990). Section 47 and its use with mentally disordered people. Journal of Public Health Medicine, 12, 9–14.CrossRefGoogle ScholarPubMed